Paul J Ganier, LPC,PHD | |
301 Abby Rd, Thibodaux, LA 70301-6020 | |
(985) 448-0764 | |
(985) 448-1912 |
Full Name | Paul J Ganier |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 301 Abby Rd, Thibodaux, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417918723 | NPI | - | NPPES |
821716761 | Other | LA | TAX ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LA1554 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | 1554 (Louisiana) | Primary |
Entity Name | Willow Bend Family Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316474356 PECOS PAC ID: 8527410885 Enrollment ID: O20240123000937 |
Mailing Address | Practice Location Address |
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Paul J Ganier, LPC,PHD 301 Abby Rd, Thibodaux, LA 70301-6020 Ph: (985) 448-0764 | Paul J Ganier, LPC,PHD 301 Abby Rd, Thibodaux, LA 70301-6020 Ph: (985) 448-0764 |
Diane Kramarz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Abby Rd, Thibodaux, LA 70301 Phone: 985-448-0764 Fax: 985-448-1912 | |
Joshonda Robertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 Talbot Ave, Thibodaux, LA 70301 Phone: 337-579-3379 | |
Shannon White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W 2nd St, Thibodaux, LA 70301 Phone: 985-446-5244 | |
Mrs. Shenee Haas Gros, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Cherry St., Thibodaux, LA 70301 Phone: 985-381-6393 | |
Dr. Chantrelle Deron Varnado-johnson, PHD, LPC-S., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 East 1st Stret, Thibodaux, LA 70310 Phone: 985-448-4349 Fax: 985-448-4435 | |
Mrs. M. Celeste R. Shelby, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E 5th St, Thibodaux, LA 70301 Phone: 985-447-5383 Fax: 985-447-5384 | |
Ms. Tonya Fay Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Tiger Dr, Thibodaux, LA 70301 Phone: 985-449-4055 |